Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386638005 Individual Practitioner Male Practitioner

James Rielly

Surgery - Vascular Surgery • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

James Rielly is a certified Surgery - Vascular Surgery practicing in Provo, UT. With approximately 39 years of clinical experience since graduating from Boston University School Of Medicine in 1987, James Rielly delivers high-quality medical care to the local community at 395 W COUGAR BLVD STE 503.

James Rielly maintains professional affiliations with Trinity Health Of New England Provider Network Organization Inc, Intermountain Medical Group Denver Llc, Intermountain Medical Group Grand Junction, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

395 W Cougar Blvd Ste 503

Provo, UT 846043323

Telephone 8013749100
Fax 8013749117
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1225165988

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Provo, UT

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
39 Yrs +16.8 yrs vs City Avg
City Avg: 22.2 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Provo, UT (36 Statewide)

Telehealth Adoption Rate
60.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
19.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rielly (39 Years) 39 Yrs
Provo Specialty Average (22.2 Years) 22.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
1,636 35 $2.94 $0.12
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist
23 16 $1858.00 $1533.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
17 14 $150.29 $69.82
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation
17 16 $1078.02 $896.09
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes
12 12 $74.56 $59.01

Medical Specialties & State Licenses

CMS Verified: 2024-03-14
Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License UT 11889299-1205

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery

NUCC Taxonomy Code: 208600000X

State License NY 249582

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License PA MD469103

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License SC 83219

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
832193 (SC)

Hospital & Practice Group Affiliations

Intermountain Medical Group Denver Llc

None, Broomfield, CO 80021

Phone: 7208074461

Intermountain Medical Group Denver Llc

340 Exempla Cir, Denver, CO 800263384

Phone: 7203998021

Intermountain Medical Group Denver Llc

340 Exempla Cir, Lafayette, CO 800263384

Phone: 3036731390

Intermountain Medical Group Grand Junction, Llc

1050 Wellington Ave, Grand Junction, CO 815018121

Phone: 9702985864

Intermountain Medical Group Denver Llc

8350 Colorado Blvd, Firestone, CO 805046803

Phone: 3036731370

Intermountain Medical Group Denver Llc

500 Eldorado Blvd, Broomfield, CO 800213408

Trinity Health Of New England Provider Network Organization Inc

1000 Asylum Ave, Hartford, CT 061051719

Phone: 8602464000

Secondary Practice Locations

1002 Lindbergh Dr Ne, Suite 2001

Atlanta, GA 303243721

Phone: 7706282855

115 Heart Dr

Greenville, NC 278348982

Phone: 2527444400

3 Richland Medical Park Dr Ste 330

Columbia, SC 292036862

Phone: 8034347100

1703 Innovation Dr Ste 4120

York, PA 174088815

Phone: 7178495576

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Brian Adams , MD

Surgery - Vascular Surgery

NPI 1144492943

Doctor of Medicine (M.D.)

Jason Brotherson , A, PRN

Nurse Anesthetist, Certified Registered

NPI 1205905742
Jordan Lythgoe , PA

Physician Assistant

NPI 1245762806

Physician Assistant

Talon Kohler , PA-C

Physician Assistant

NPI 1528732062

Physician Assistant (Certified)

Dr. Robert Smilanich , MD

Surgery - Vascular Surgery

NPI 1730187600

Doctor of Medicine (M.D.)

Dr. Bradley Bowles , MD

Surgery - Vascular Surgery

NPI 1922458892

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

21 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2024

Surgery (License #249582 in NY)

📍
Updated Practice Location December 08, 2023

Registered at 395 W COUGAR BLVD STE 503, PROVO, UT 846043323 (Tel: 8013749100)

📍
Updated Business Mailing Address December 08, 2023

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2023

Surgery (License #MD469103 in PA)

📍
Updated Business Mailing Address April 10, 2023

Registered at 409 S 2ND ST STE 2F, HARRISBURG, PA 171041612

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2023

Surgery (License #249582 in NY)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2022

Surgery (License #83219 in SC)

📍
Updated Practice Location May 24, 2021

Registered at 1002 LINDBERGH DR NE, SUITE 2001, ATLANTA, GA 303243721 (Tel: 7706282855)

📍
Updated Business Mailing Address May 24, 2021

Registered at 1002 LINDBERGH DR NE, SUITE 2001, ATLANTA, GA 303243721

👤
Provider Name / Credentials Updated May 24, 2021

Recorded as JAMES RIELLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2020

Surgery (License #249582 in NY)

👤
Provider Name / Credentials Updated October 01, 2020

Recorded as JAMES RIELLY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2020

Surgery (License #83219 in SC)

📍
Updated Practice Location November 02, 2018

Registered at 1002 LINDBERGH DR NE, ATLANTA, GA 30324 (Tel: 7062822855)

📍
Updated Business Mailing Address November 02, 2018

Registered at 1002 LINDBERGH DR NE, ATLANTA, GA 303243721 (Tel: 9175207858)

NPI Profile Active February 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2012

Registered at 5A MEDICAL PARK DR, POMONA, NY 109703516 (Tel: 8453620075)

📍
Updated Business Mailing Address February 09, 2012

Registered at 5A MEDICAL PARK DR, POMONA, NY 109703516 (Tel: 8453620075)

👤
Provider Name / Credentials Updated February 09, 2012

Recorded as JAMES RIELLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2012

Surgery (License #249582 in NY)

🟢
Initial NPI Registration & Enumeration September 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386638005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2005
Last Update: March 14, 2024
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.